Department of Veterans Affairs Pt. 4, App. B
Sec. Sec.
Diagnostic Code 7111—NOTE; September 9, Diagnostic Code 7907—60% Evaluation; August 1975. 13, 1981. Diagnostic Codes 7114, 7115, 7116, and NOTE; Diagnostic Code 7909—40% and 20% Evalua- June 9, 1952. tion; August 13, 1981. Diagnostic Code 7117 and NOTE; June 9, 1952. Diagnostic Code 7911—Evaluations and Note; NOTE following Diagnostic Code 7120; July 6, March 1, 1963; 40% and 20% Evaluations; 1950. August 13, 1981. Diagnostic Code 7121—100 percent Criterion Diagnostic Code 7913—Note; September 9, and Evaluation and 60 percent Criterion; 1975. March 10, 1976. Criteria for 30 percent and Diagnostic Code 7914—Note; March 10, 1976. 10 percent and NOTE; July 6, 1950. 4.122 October 1, 1961. Last sentence of NOTE following Diagnostic 4.124a Diagnostic Code 8002, NOTE; Code 7122; July 6, 1950. Diagnostic Code 8021, NOTE; 4.114 Diagnostic Codes 7304 and 7305—Evaluations; Diagnostic Code 8045; October 1, 1961. November 1, 1962. Diagnostic Code 8046; October 1, 1961. Diagnostic Code 7308—Evaluations; April 8, Diagnostic Code 8100—Evaluations; June 9, 1959. 1953. Diagnostic Code 7312—70% Evaluation and 50% Evaluation and Criterion; March 10, Diagnostic Codes 8910 through 8914; October 1976. 1, 1961. Diagnostic Code 7313—20% Evaluation; March Diagnostic Codes 8910 through 8914 General 10, 1976. Rating Formula—Criteria and Evaluations; Diagnostic Code 7319—Evaluations; November September 9, 1975. 1, 1962. 4.125Ð All Diagnostic Codes under Mental Disorders; Diagnostic Code 7321—Evaluations and Note; 4.132 October 1, 1961, except as to evaluation for July 6, 1950. Diagnostic Codes 9500 through 9511; Sep- Diagnostic Code 7328—Evaluations and Note; tember 9, 1975. November 1, 1962. Diagnostic Code 7329—Evaluations and Note; November 1, 1962. [29 FR 6718, May 22, 1964, as amended at 34 Diagnostic Code 7330—60% Evaluation; No- FR 5064, Mar. 11, 1969; 40 FR 42541, Sept. 15, vember 1, 1962. 1975; 41 FR 11291, Mar. 18, 1976; 41 FR 34258, Diagnostic Code 7332—60% Evaluation; No- Aug. 13, 1976; 43 FR 45362, Oct. 2, 1978; 46 FR vember 1, 1962. 43666, Aug. 31, 1981; 52 FR 44122, Nov. 18, 1987; Diagnostic Code 7334—50% and 30% Evalua- 52 FR 46439, Dec. 7, 1987] tions; July 6, 1950. Diagnostic Code 7334—10% Evaluation; No- vember 1, 1962. APPENDIX B TO PART 4—NUMERICAL Diagnostic Code 7339—Criterion for 20% Eval- INDEX OF DISABILITIES uation; March 10, 1976. [ACUTE, SUBACUTE, OR CHRONIC DISEASES] Diagnostic Code 7343—Note; March 10, 1976. Diagnostic Code 7345—100%, 60% and 30% Diag- Evaluations; August 23, 1948. nos- Diagnostic Code 7345—10% Evaluation; Feb- tic ruary 17, 1955. Code Diagnostic Code 7345—10% Evaluation; Feb- No. ruary 17, 1955. Diagnostic Code 7346—Evaluations; February 5000 Osteomyelitis, acute, subacute, or chronic. 1, 1962. 5001 Bones and Joints, tuberculosis of. Diagnostic Code 7347; September 9, 1975. 5002 Arthritis, rheumatoid (atrophic). Diagnostic Code 7348; March 10, 1976. 5003 Arthritis, degenerative, hypertrophic, or osteoarthritis. 4.115a Diagnostic Code 7500—Note; July 6, 1950. 5004 Arthritis, gonorrheal. Diagnostic Code 7519—20%, 40% and 60% 5005 Arthritis, pneumococcic. Evaluations; March 10, 1976. 5006 Arthritis, typhoid. Diagnostic Code 7524—Note; July 6, 1950. 5007 Arthritis, syphilitic. Diagnostic Code 7528—Note; March 10, 1976. 5008 Arthritis, streptococcic. Diagnostic Code 7530; September 9, 1975. 5009 Arthritis, other types. Diagnostic Code 7531; September 9, 1975. 5010 Arthritis, due to trauma. 4.116a Diagnostic Code 7627—Note; March 10, 1976. 5011 Bones, caisson disease of. 4.117 Diagnostic Code 7703—Evaluations; August 23, 5012 Bones, new growths of, malignant. 1948. 5013 Osteoporosis, with joint manifestations. Diagnostic Code 7709—Note; March 10, 1976. 5014 Osteomalacia. Evaluations; June 9, 1952. 5015 Bones, new growths of, benign. Diagnostic Code 7714; September 9, 1975. 5016 Osteitis deformans. 4.118 Diagnostic Code 7801—Note (2); July 6, 1950. 5017 Gout. Diagnostic Code 7804—Note; July 6, 1950. 5018 Hydrarthrosis, intermittent. 4.119 Diagnostic Code 7900—10% Evaluation; and Notes (2) and (3); August 13, 1981. 5019 Bursitis. Diagnostic Code 7902—20% Evaluation; August 5020 Synovitis. 13, 1981. 5021 Myositis. Diagnostic Code 7903—10% Evaluation; August 5022 Periostitis. 13, 1981. 5023 Myositis ossificans. Diagnostic Code 7905—10% Evaluation; August 5024 Tenosynovitis. 13, 1981.
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COMBINATIONS OF DISABILITIES 5164 With loss of natural knee action. 5165 At a lower level. 5100 Anatomical loss of both hands and both feet. 5166 Forefoot, amputation proximal to metatarsal bones. 5101 Loss of use of both hands and both feet. 5167 Foot, loss of use of. 5102 Anatomical loss of both hands and one foot. 5170 Toes, all, amputation of, without metatarsal loss. 5103 Anatomical loss of both feet and one hand. 5171 Toe, great, amputation of. 5104 Loss of use of both hands and one foot. 5172 Toe, other, amputation of. 5105 Loss of use of both feet and one hand. 5173 Toes, three or more, amputation of, not including 5106 Anatomical loss of both hands. great toe. 5107 Anatomical loss of both feet. 5108 Anatomical loss of one hand and one foot. THE SHOULDER AND ARM 5109 Loss of use of both hands. 5110 Loss of use of both feet. 5200 Scapulohumeral articulation, ankylosis of. 5111 Loss of use of one hand and one foot. 5201 Arm, limitation of motion of. 5202 Humerus, other impairment of. AMPUTATIONS: UPPER EXTREMITY 5203 Clavicle or scapula, impairment of.
Arm, amputation of: THE ELBOW AND FOREARM 5120 Disarticulation. 5121 Above insertion of deltoid. 5205 Elbow, ankylosis of. 5122 Below insertion of deltoid. 5206 Forearm, limitation of flexion of. Forearm, amputation of: 5207 Forearm, limitation of extension of 5123 Above insertion of pronator teres. 5208 Forearm, flexion limited to 100° and extension to 45°. 5124 Below insertion of pronator teres. 5209 Elbow, other impairment of. 5125 Hand, loss of use of. 5210 Radius and ulna, nonunion of, with flail false joint. 5126 Five digits of one hand, amputation of: 5211 Ulna, impairment of. Four digits of one hand, amputation of: 5212 Radius, impairment of. 5127 Thumb, index, middle and ring. 5213 Supination and pronation, impairment of. 5128 Thumb, index, middle and little. 5129 Thumb, index, ring and little. 5130 Thumb, middle, ring and little. THE WRIST AND HAND 5131 Index, middle, ring and little. Three digits of one hand, amputation of: 5214 Wrist, ankylosis. 5132 Thumb, index and middle. 5215 Wrist, limitation of motion of. 5133 Thumb, index and ring. 5216 Five digits of one hand, unfavorable ankylosis of. 5134 Thumb, index and little. 5217 Four digits of one hand, unfavorable ankylosis of. 5135 Thumb, middle and ring. 5218 Three digits of one hand, unfavorable ankylosis of. 5136 Thumb, middle and little. 5219 Two digits of one hand, unfavorable ankylosis of. 5137 Thumb, ring and little. 5220 Five digits of one hand, favorable ankylosis of. 5138 Index, middle and ring. 5221 Four digits of one hand, favorable ankylosis of. 5139 Index, middle and little. 5222 Three digits of one hand, favorable ankylosis of. 5140 Index, ring and little. 5223 Two digits of one hand, favorable ankylosis of. 5141 Middle, ring and little. 5224 Thumb, ankylosis of. Two digits of one hand, amputation of: 5225 Index finger, ankylosis of. 5142 Thumb and index. 5226 Middle finger, ankylosis of. 5143 Thumb and middle. 5227 Finger, any other, ankylosis of. 5144 Thumb and ring. 5145 Thumb and little. THE HIP AND THIGH 5146 Index and middle. 5147 Index and ring. 5148 Index and little. 5250 Hip, ankylosis of. 5149 Middle and ring. 5251 Thigh, limitation of extension of. 5150 Middle and little. 5252 Thigh, limitation of flexion of. 5151 Ring and little. 5253 Thigh, impairment of. 5152 Thumb, amputation of. 5254 Hip, flail joint. 5153 Index finger, amputation of. 5255 Femur, impairment of. 5154 Middle finger, amputation of. 5155 Ring finger, amputation of. THE KNEE AND LEG 5156 Little finger, amputation of. 5256 Knee, ankylosis of. AMPUTATIONS: LOWER EXTREMITY 5257 Knee, other impairment of. 5258 Cartilage, semilunar, dislocated. Thigh, amputation of: 5259 Cartilage, semilunar, removal of. 5160 Disarticulation. 5260 Leg, limitation of flexion of. 5161 Upper third. 5261 Leg, limitation of extension of. 5162 Middle or lower thirds. 5262 Tibia and fibula, impairment of. Leg, amputation of: 5263 Genu recurvatum. 5163 With defective stump.
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THE ANKLE 5312 Group XII—Anterior muscles of the leg. 5313 Group XIII—Posterior thigh group. 5270 Ankle, ankylosis of. 5314 Group XIV—Anterior thigh group. 5271 Ankle, limited motion of. 5315 Group XV—Mesial thigh group. 5272 Subastragalar or tarsal joint, ankylosis of. 5316 Group XVI—Pelvic girdle group 1. 5273 Os calcis or astragalus, malunion of. 5317 Group XVII—Pelvic girdle group 2. 5274 Astragalectomy. 5318 Group XVIII—Pelvic girdle group 3. 5319 Group XIX—Muscles of the abdominal wall. 5320 Group XX—Spinal muscles. SHORTENING OF THE LOWER EXTREMITY 5321 Group XXI—Muscles of respiration. 5322 Group XXII—Lateral, supra and infrahyoid group. 5275 Bones, of the lower extremity, shortening of. 5323 Group XXIII—Lateral and posterior muscles of the neck. THE FOOT 5324 Diaphragm, rupture of. 5325 Muscle injury, facial muscles. 5276 Flatfoot, acquired. 5326 Muscle hernia. 5277 Weak foot, bilateral. 5278 Claw foot (pes cavus), acquired. DISEASES OF THE EYE 5279 Metatarsalgia, anterior (Morton’s disease). 5280 Hallux valgus. 6000 Uveitis. 5281 Hallux rigidus. 6001 Keratitis. 5282 Hammer toe. 6002 Scleritis. 5283 Tarsal, or metatarsal bones, malunion of, or nonunion 6003 Iritis. of. 6004 Cyclitis. 5284 Foot injuries, other. 6005 Choroiditis. 6006 Retinitis. THE SPINE 6007 Hemorrhage, intra-ocular, recent. 6008 Retina, detachment of. 5285 Vertebra, fracture of, residuals. 6009 Eye, injury of, unhealed. 5286 Spine, complete bony fixation (ankylosis) of. 6010 Eye, tuberculosis of. 5287 Spine, ankylosis of, cervical. 6011 Retina, localized scars. 5288 Spine, ankylosis of, dorsal. 6012 Glaucoma, congestive or inflammatory. 5289 Spine, ankylosis of, lumbar. 6013 Glaucoma, simple, primary, noncongestive. 5290 Spine, limitation of motion of, cervical. 6014 New growths, malignant, eyeball. 5291 Spine, limitation of motion of, dorsal. 6015 New growths, benign, eyeball and adnexa. 5292 Spine, limitation of motion of, lumbar. 6016 Nystagmus, central. 5293 Intervertebral disc syndrome. 6017 Conjunctivitis, trachomatous, chronic. 5294 Sacroiliac injury and weakness. 6018 Conjunctivitis, other, chronic. 5295 Lumbosacral strain. 6019 Ptosis, eyelids. 6020 Ectropion. 6021 Entropion. THE SKULL 6022 Lagophthalmos. 6023 Eyebrows, loss of. 5296 Skull, loss of part of, both inner and outer tables. 6024 Eyelashes, loss of. 6025 Epiphora. THE RIBS 6026 Neuritis, optic. 6027 Cataract, traumatic. 6028 Cataract, senile, and others. 5297 Ribs, removal of. 6029 Aphakia. 6030 Accommodation, paralysis of. THE COCCYX 6031 Dacryocystitis. 6032 Eyelids, loss of portion of. 5298 Coccyx, removal of. 6033 Lens, crystalline, dislocation of. 6034 Pterygium. MUSCLE INJURIES COMBINATIONS OF DISABILITIES 5301 Group I—Extrinsic muscles of shoulder girdle. 5302 Group II—Extrinsic muscles of shoulder girdle. 6050 Blindness in both eyes having only light perception 5303 Group III—Intrinsic muscles of shoulder girdle. and anatomical loss of both hands and both feet. 5304 Group IV—Intrinsic muscles of shoulder girdle. 6051 Blindness in both eyes having only light perception 5305 Group V—Flexor muscles of the elbow. and loss of use of both hands and both feet. 5306 Group VI—Extensor muscles of the elbow. 6052 Blindness in both eyes having only light perception 5307 Group VII—Muscles arising from internal condyle of and anatomical loss of both hands. humerus. 6053 Blindness in both eyes having only light perception 5308 Group VIII—Muscles arising mainly from external and anatomical loss of both feet. condyle of humerus. 6054 Blindness in both eyes having only light perception 5309 Group IX—Intrinsic muscles of the hand. and anatomical loss of one hand and one foot. 5310 Group X—Intrinsic muscles of the foot. 6055 Blindness in both eyes having only light perception 5311 Group XI—Posterior and lateral muscles of the leg. and loss of use of both hands.
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6056 Blindness in both eyes having only light perception 6206 Mastoiditis. and loss of use of both feet. 6207 Auricle, loss or deformity. 6057 Blindness in both eyes having only light perception 6208 New growths, malignant, ear. and loss of use of one hand and one foot. 6209 New growths, benign, ear. 6058 Blindness in both eyes having only light perception 6210 Auditory canal, disease of. and anatomical loss of one hand. 6211 Tympanic membrane, perforation of. 6059 Blindness in both eyes having only light perception 6260 Tinnitus. and anatomical loss of one foot. 6060 Blindness in both eyes having only light perception OTHER SENSE ORGANS and loss of use of one hand. 6061 Blindness in both eyes having only light perception 6275 Smell, loss of sense of. and loss of use of one foot. 6276 Taste, loss of sense of. 6062 Blindness in both eyes having only light perception.
SYSTEMIC DISEASES IMPAIRMENT OF CENTRAL VISUAL ACUITY 6300 Cholera, Asiatic. Blindness, anatomical loss, one eye: 6301 Kala-azar (visceral leishmaniasis). 6063 Other blind (5/200 or less). 6302 Leprosy. 6064 Other impaired (20/200 or less). 6304 Malaria. 6065 Other impaired. 6305 Filariasis. 6066 Other normal. 6306 Oroya fever. Blindness, light perception only one eye: 6307 Plague. 6067 Other blind (5/200 or less). 6308 Relapsing fever. 6068 Other impaired (20/200 or less). 6309 Rheumatic fever. 6069 Other impaired. 6310 Syphilis, unspecified. 6070 Other normal. 6311 Tuberculosis, military. Blindness, total (5/200 or less): 6313 Avitaminosis. 6071 Both eyes. 6314 Beriberi. Blindness, total one eye (5/200 or less): 6315 Pellagra. 6072 Other impaired (20/200 or less). 6316 Brucellosis (Malta or undulant fever). 6073 Other impaired. 6317 Typhus, scrub. 6074 Other normal. 6350 Lupus erythematosus, systemic. Blindness, partial (20/200 or less): 6075 Both eyes. RESPIRATORY SYSTEM .... One eye: 6076 Other impaired. 6077 Other normal. THE NOSE AND THROAT Blindness, partial: 6078 Both eyes. 6501 Rhinitis, atrophic, chronic. 6079 One eye only. 6502 Septum, nasal, deflection of. 6080 Field vision, impairment of. 6504 Nose, loss of part of, or scars. 6081 Scotoma, pathological. 6510 Sinusitis, pansinusitis, chronic. 6090 Muscle function, ocular, impairment of. 6511 Sinusitis, ethmoid, chronic. 6091 Symblepharon. 6512 Sinusitis, frontal, chronic. 6092 Diplopia, due to limited muscle function. 6513 Sinusitis, maxillary, chronic. 6514 Sinusitis, sphenoid, chronic. IMPAIRMENT OF AUDITORY ACUITY 6515 Laryngitis, tuberculous. 6516 Laryngitis, chronic. 6517 Larynx, injuries of, healed. 6100 0% evaluation based on Table VII 6518 Laryngectomy. 6101 10% evaluation based on Table VII 6519 Aphonia, organic. 6102 20% evaluation based on Table VII 6520 Larynx, stenosis of. 6103 30% evaluation based on Table VII 6104 40% evaluation based on Table VII 6105 50% evaluation based on Table VII THE TRACHEA AND BRONCHI 6106 60% evaluation based on Table VII 6107 70% evaluation based on Table VII 6600 Bronchitis, chronic. 6108 80% evaluation based on Table VII 6601 Bronchiectasis. 6109 90% evaluation based on Table VII 6602 Asthma, bronchial. 6110 100% evaluation based on Table VII. THE LUNGS AND PLEURA DISEASES OF THE EAR 6701 Tuberculosis, pulmonary, chronic, far advanced, ac- 6200 Otitis media, suppurative, chronic. tive. 6201 Otitis media, catarrhal, chronic. 6702 Tuberculosis, pulmonary, chronic, moderately ad- 6202 Otosclerosis. vanced, active. 6203 Otitis interna. 6703 Tuberculosis, pulmonary, chronic, minimal, active. 6204 Labyrinthitis. 6704 Tuberculosis, pulmonary, chronic, active, advance- 6205 Meniere’s syndrome. ment unspecified.
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Diag- Diag- nos- nos- tic tic Code Code No. No.
6707 Tuberculosis, pulmonary, chronic, far advanced, ac- THE ARTERIES AND VEINS tive. 6708 Tuberculosis, pulmonary, chronic, moderately ad- 7100 Arteriosclerosis, general. vanced, active. 7101 Hypertensive vascular disease (essential arterial hy- 6709 Tuberculosis, pulmonary, chronic, minimal, active. pertension). 6710 Tuberculosis, pulmonary, chronic, active, advance- 7110 Aorta or branches, aneurysm of. ment unspecified. 7111 Artery, any large artery, aneurysm of. 6721 Tuberculosis, pulmonary, chronic, far advanced, inac- 7112 Artery, small aneurysmal dilatation. tive. 7113 Arteriovenous aneurysm, traumatic. 6722 Tuberculosis, pulmonary, chronic, moderately ad- 7114 Arteriosclerosis obliterans. vanced, inactive. 7115 Thrombo-angiitis obliterans (Buerger’s disease). 6723 Tuberculosis, pulmonary, chronic, minimal, inactive. 7116 Claudication, intermittent. 6724 Tuberculosis, pulmonary, chronic, inactive, advance- 7117 Raynaud’s disease. ment unspecified. 7118 Angioneurotic edema. 6725 Tuberculosis, pulmonary, chronic, far advanced, inac- 7119 Erythromelalgia. tive. 7120 Varicose veins. 6726 Tuberculosis, pulmonary, chronic, moderately ad- 7121 Phlebitis. vanced, inactive. 7122 Frozen feet, residuals of (Immersion foot). 6727 Tuberculosis, pulmonary, chronic, minimal, inactive. 6728 Tuberculosis, pulmonary, chronic, inactive, advance- THE DIGESTIVE SYSTEM ment unspecified. 6732 Pleurisy, tuberculous. 7200 Mouth, injuries of. 6800 Anthracosis. 7201 Lips, injuries of. 6801 Silicosis. 7202 Tongue, loss of, whole or part. 6802 Pneumoconiosis, unspecified. 7203 Esophagus, stricture of. 6803 Actinomycosis of lung. 7204 Esophagus, spasm of (cardiospasm). 6804 Streptotrichosis of lung. 7205 Esophagus, diverticulum of, acquired. 6805 Blastomycosis of lung. 7301 Peritoneum, adhesions of. 6806 Sporotrichosis of lung. 6807 Aspergillosis of lung. 7304 Ulcer, gastric. 6808 Mycosis of lung, unspecified. 7305 Ulcer, duodenal. 6809 Lung, abscess of. 7306 Ulcer, marginal (gastrojejunal). 6810 Pleurisy, serofibrinous. 7307 Gastritis, hypertrophic. 6811 Pleurisy, purulent (empyema). 7308 Postgastrectomy syndromes. 6812 Fistula, bronchocutaneous, or bronchopleural. 7309 Stomach, stenosis of. 6813 Lung, permanent collapse of. 7310 Stomach, injury of, residuals. 6814 Pneumothorax, spontaneous. 7311 Liver, injury of. 6815 Pneumonectomy. 7312 Liver, cirrhosis of. 6816 Lobectomy. 7313 Liver, abscess of, residuals. 6817 Lung, chronic passive congestion of. 7314 Cholecystitis, chronic. 6818 Pleural cavity, injuries, residuals of, including gunshot 7315 Cholelithiasis, chronic. wounds. 7316 Cholangitis, chronic. 6819 New growths, malignant, any specified part of res- 7317 Gall bladder, injury of. piratory system. 7318 Gall bladder, removal of. 6820 New growths, benign, any specified part of respiratory 7319 Irritable colon syndrome (spastic colitis, mucous coli- system. tis, etc.). 6821 Coccidioidomycosis. 7321 Amebiasis. 7322 Dysentery, bacillary. 7323 Colitis, ulcerative. THE CARDIOVASCULAR SYSTEM 7324 Distomiasis, intestinal or hepatic. 7325 Enteritis, chronic. THE HEART 7326 Enterocolitis, chronic. 7327 Diverticulitis. 7000 Rheumatic heart disease. 7328 Intestine, small, resection of. 7001 Endocarditis, bacterial, subacute. 7329 Intestine, large, resection of. 7002 Pericarditis, bacterial or rheumatic, acute. 7330 Intestine, fistula of. 7003 Adhesions, pericardial. 7331 Peritonitis, tuberculous, active. 7004 Syphilitic heart disease. 7332 Rectum and anus, impairment of sphincter control. 7005 Arteriosclerotic heart disease. 7333 Rectum and anus, stricture of. 7006 Myocardium, infarction of, due to thrombosis or embo- 7334 Rectum, persistent prolapse of. lism. 7335 Ano, fistula in. 7007 Hypertensive heart disease. 7336 Hemorrhoids, external or internal. 7008 Hyperthyroid heart disease. 7337 Pruritus ani. 7010 Auricular flutter, paroxysmal. 7338 Hernia, inguinal. 7011 Auricular fibrillation, paroxysmal. 7339 Hernia, ventral. 7012 Auricular fibrillation, permanent. 7340 Hernia, femoral. 7013 Tachycardia, paroxysmal. 7341 Wounds, incised, healed, abdominal wall. 7014 Sinus tachycardia. 7342 Visceroptosis. 7015 Auriculoventricular block. 7343 New growths, malignant, any specified part of diges- tive system.
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7344 New growths, benign, any specified part of digestive 7704 Polycythemia, primary. system. 7705 Purpura hemorrhagica. 7345 Hepatitis, infectious. 7706 Splenectomy. 7346 Hernia, hiatal. 7707 Spleen, injury of, healed. 7709 Lymphogranulomatosis (Hodgkin’s disease). THE GENITOURINARY SYSTEM 7710 Adenitis, cervical, tuberculous. 7711 Adenitis, axillary, tuberculous. 7712 Adenitis, inguinal, tuberculous. 7500 Kidney, removal of. 7713 Adenitis, secondary. 7501 Kidney, abscess of. 7502 Nephritis, chronic. 7503 Pyelitis. THE SKIN 7504 Pyelonephritis, chronic. 7505 Kidney, tuberculosis of, active. 7800 Scars, disfiguring, head, face or neck. 7507 Nephrosclerosis, arteriolar. 7801 Scars, burns, third degree. 7508 Nephrolithiasis. 7802 Scars, burns, second degree. 7509 Hydronephrosis. 7803 Scars, superficial, poorly nourished. 7510 Ureterolithiasis. 7804 Scars, superficial, tender and painful. 7511 Ureter, stricture of. 7805 Scars, others. 7512 Cystitis, chronic. 7806 Eczema. 7513 Cystitis, interstitial (Hunner), submucous or elusive 7807 Leishmaniasis, americana (mucocutaneous, ulcer. espundia). 7514 Bladder, tuberculosis of. 7808 Leishmaniasis, old world (cutaneous, oriental sore). 7515 Bladder, calculus in. 7809 Lupus erythematosus, discoid. 7516 Bladder, fistula of. 7810 Pinta. 7517 Bladder, injury of. 7811 Tuberculosis luposa (lupus vulgaris). 7518 Urethra, stricture of. 7812 Verruga peruana. 7519 Urethra, fistula of. 7813 Dermatophytosis. 7520 Penis, removal of half or more. 7814 Tinea barbae. 7521 Penis, removal of glans. 7815 Pemphigus. 7522 Penis, deformity, with loss of erectile power. 7816 Psoriasis. 7523 Testis, atrophy, complete. 7817 Dermatitis exfoliativa. 7524 Testis, removal of. 7818 New growths, malignant, skin. 7525 Epididymo-orchitis (tuberculous). 7819 New growths, benign, skin. 7526 Prostate gland, resection or removal. 7527 Prostate gland injuries, infectious hypertrophy, post- THE ENDOCRINE SYSTEM operative residuals. 7528 New growths, malignant, any specified part of genito- 7900 Hyperthyroidism. urinary system. 7901 Thyroid gland, toxic adenoma of. 7529 New growths, benign, any specified part of genito- 7902 Thyroid gland, non-toxic adenoma of. urinary system. 7903 Hypothyroidism. 7904 Hyperparathyroidism (osteitis fibrosa cystica). GYNECOLOGICAL CONDITIONS 7905 Hypoparathyroidism. 7907 Hyperpituitarism (pituitary basophilism, Cushing’s syn- 7610 Vulvovaginitis. drome). 7611 Vaginitis. 7908 Hyperpituitarism (acromegaly or gigantism). 7612 Cervicitis. 7909 Hypopituitarism (diabetes inspidus). 7613 Metritis. 7910 Hyperadrenia (adrenogenital syndrome). 7614 Salpingitis. 7911 Addison’s disease. 7615 Oophoritis. 7912 Pluriglandular syndromes. 7617 Uterus and ovaries, removal of, complete. 7913 Diabetes mellitus. 7618 Uterus, removal of, including corpus. 7914 New growths, malignant, endocrine system. 7619 Ovaries, removal of. 7915 New growths, benign, endocrine system. 7620 Ovaries, atrophy of both. 7621 Uterus, prolapse. NEUROLOGICAL CONDITIONS AND CONVULSIVE DISORDERS 7622 Uterus, displacement of. 7623 Pregnancy, surgical complications of. 8000 Encephalitis, epidemic, chronic. 7624 Fistula, rectovaginal. Brain, new growth of: 7625 Fistula, urethrovaginal. 8002 Malignant. 7626 Mammary glands, removal of. 8003 Benign. 7627 New growth, malignant, gynecological system, or 8004 Paralysis agitans. mammary glands. 8005 Bulbar palsy. 8007 Brain, vessels, embolism of. THE HEMIC AND LYMPHATIC SYSTEMS 8008 Brain, vessels, thrombosis of. 8009 Brain, vessels, hemorrhage from. 7700 Anemia, pernicious. 8010 Myelitis. 7701 Anemia, secondary. 8011 Poliomyelitis, anterior. 7702 Agranulocytosis, acute. 8012 Hematomyelia. 7703 Leukemia. 8013 Syphilis, cerebrospinal.
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[ACUTE, SUBACUTE, OR CHRONIC DISEASES] [ACUTE, SUBACUTE, OR CHRONIC DISEASES]
Diag- Diag- nos- nos- tic tic Code Code No. No.
8014 Syphilis, meningovascular. 8526 Anterior crural nerve (femoral), paralysis of. 8015 Tabes dorsalis. 8527 Internal saphenous nerve, paralysis of. 8017 Amyotrophic lateral sclerosis. 8528 Obturator nerve, paralysis of. 8018 Multiple sclerosis. 8529 External cutaneous nerve of thigh, paralysis of. 8019 Meningitis, cerebrospinal, epidemic. 8530 Ilio-inguinal nerve, paralysis of. 8020 Brain, abscess of. Spinal cord, new growths: 8021 Malignant. PERIPHERAL NERVES: NEURITIS 8022 Benign. 8023 Progressive muscular atrophy. 8610 Upper radicular group (fifth and sixth cervicals), neu- 8024 Syringomyelia. ritis. 8025 Myasthenia gravis. 8611 Middle radicular group, neuritis. 8045 Brain disease due to trauma. 8612 Lower radicular group, neuritis. 8046 Cerebral arteriosclerosis. 8613 All radicular groups, neuritis. 8100 Migraine. 8614 The musculospiral nerve (radial nerve), neuritis. 8103 Tic, convulsive. 8615 The median nerve, neuritis. 8104 Paramyoclonus multiplex (convulsive state, myoclonic 8616 The ulnar nerve, neuritis. type). 8617 Musculocutaneous nerve, neuritis. 8105 Chorea, Sydenham’s. 8618 Circumflex nerve, neuritis. 8106 Chorea, Huntington’s. 8107 Athetosis, acquired. 8619 Long thoracic nerve, neuritis. 8108 Narcolepsy. 8620 The sciatic nerve, neuritis. 8621 External popliteal nerve (common peroneal), neuritis. 8622 Musculocutaneous nerve (superficial peroneal), neu- THE CRANIAL NERVES ritis. 8623 Anterior tibial nerve (deep peroneal), neuritis. 8205 Fifth (trigeminal) cranial nerve, paralysis of. 8624 Internal popliteal nerve (tibial) neuritis. 8207 Seventh (facial) cranial nerve, paralysis of. 8625 Posterior tibial nerve, neuritis. 8209 Ninth (glossopharyngeal) cranial nerve, paralysis of. 8626 Anterior crural nerve (femoral), neuritis. 8210 Tenth (pneumogastric, vagus) cranial nerve, paralysis 8627 Internal saphenous nerve, neuritis. of. 8628 Obturator nerve, neuritis. 8211 Eleventh (spinal accessory, external branch) cranial 8629 External cutaneous nerve of thigh, neuritis. nerve, paralysis of. 8630 Ilio-inguinal nerve, neuritis. 8212 Twelfth (hypoglossal) cranial nerve, paralysis of. 8305 Fifth (trigeminal) cranial nerve, neuritis. PERIPHERAL NERVES: NEURALGIA 8307 Seventh (facial) cranial nerve, neuritis. 8309 Ninth (glossopharyngeal) cranial nerve, neuritis. 8310 Tenth (pneumogastric, vagus) cranial nerve, neuritis. 8710 Upper radicular group (fifth and sixth cervicals), neu- 8311 Eleventh (spinal accessory, external branch) cranial ralgia. nerve, neuritis. 8711 Middle radicular group, neuralgia. 8312 Twelfth (hypoglossal) cranial nerve, neuritis. 8712 Lower radicular group, neuralgia. 8407 Seventh (facial) cranial nerve, neuralgia. 8713 All radicular groups, neuralgia. 8409 Ninth (glossopharyngeal) cranial nerve, neuralgia. 8714 The musculospiral nerve (radial nerve), neuralgia. 8410 Tenth (pneumogastric, vagus) cranial nerve, neu- 8715 The median nerve, neuralgia. ralgia. 8716 The ulnar nerve, neuralgia. 8411 Eleventh (spinal accessory, external branch) cranial 8717 Musculocutaneous nerve, neuralgia. nerve, neuralgia. 8718 Circumflex nerve, neuralgia. 8412 Twelfth (hypoglossal) cranial nerve, neuralgia. 8719 Long thoracic nerve, neuralgia. 8720 The sciatic nerve, neuralgia. 8721 External popliteal nerve (common peroneal), neu- PERIPHERAL NERVES: PARALYSIS ralgia. 8722 Musculocutaneous nerve (superficial peroneal), neu- 8510 Upper radicular group (fifth and sixth cervicals), paral- ralgia. ysis of. 8723 Anterior tibial nerve (deep peroneal), neuralgia. 8511 Middle radicular group, paralysis of. 8724 Internal popliteal nerve (tibial), neuralgia. 8512 Lower radicular group, paralysis of. 8725 Posterior tibial nerve, neuralgia. 8513 All radicular groups, paralysis of. 8726 Anterior crural nerve (femoral), neuralgia. 8514 The musculospiral nerve (radial nerve), paralysis of. 8727 Internal saphenous nerve, neuralgia. 8515 The median nerve, paralysis of. 8728 Obturator nerve, neuralgia. 8516 The ulnar nerve, paralysis of. 8729 External cutaneous nerve of thigh neuralgia. 8517 Musculocutaneous nerve, paralysis of. 8730 Ilio-inguinal nerve, neuralgia. 8518 Circumflex nerve, paralysis of. 8519 Long thoracic nerve, paralysis of. 8520 The sciatic nerve, paralysis of. THE EPILEPSIES 8521 External popliteal nerve (common peroneal), paralysis of. 8910 Epilepsy, grand mal. 8522 Musculocutaneous nerve (superficial peroneal), paral- 8911 Epilepsy, petit mal. ysis of. 8912 Jacksonian type. 8523 Anterior tibial nerve (deep peroneal), paralysis of. 8913 Epilepsy, diencephalic. 8524 Internal popliteal nerve (tibial), paralysis of. 8914 Epilepsy, psychomotor. 8525 Posterior tibial nerve, paralysis of.
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[ACUTE, SUBACUTE, OR CHRONIC DISEASES] [ACUTE, SUBACUTE, OR CHRONIC DISEASES]
Diag- Diag- nos- nos- tic tic Code Code No. No.
PSYCHOTIC DISORDERS 9908 Condyloid process, loss of, one or both sides. 9909 Coronoid process, loss of. 9200 Schizophrenic reaction, simple type. 9910 Maxilla, loss of whole or part of substance of, non- 9201 Schizophrenic reaction, hebephrenic type. union of, or malunion of. 9202 Schizophrenic reaction, catatonic type. 9911 Hard palate, loss of half or more. 9203 Schizophrenic reaction, paranoid type. 9912 Hard palate, loss of less than half of. 9204 Schizophrenic reaction, chronic undifferentiated type. 9913 Teeth, loss of, due to loss of substance of body of 9205 Schizophrenic reaction, other. maxilla or mandible. 9206 Manic depressive reaction. 9207 Psychotic depressive reaction. 9208 Paranoid reaction (specify). [29 FR 6718, May 22, 1964, as amended at 34 9209 Involutional psychotic reaction. FR 5064, Mar. 11, 1969, 52 FR 44122, Nov. 18, 9210 Psychotic reaction, other. 1987; 53 FR 24938, July 1, 1988]
ORGANIC BRAIN DISORDERS APPENDIX C TO PART 4—ALPHABETICAL INDEX OF DISABILITIES 9300 Acute brain syndrome (associated with infection, trau- ma, circulatory disturbance, etc.). Diag- 9301 Chronic brain syndrome associated with central nerv- nostic ous system syphilis (all forms). Code 9302 Chronic brain syndrome associated with intracranial No. infections other than syphilis. 9303 Chronic brain syndrome associated with intoxication. Abscess: 9304 Chronic brain syndrome associated with brain trauma. Brain ...... 8020 9305 Chronic brain syndrome associated with cerebral arte- Kidney ...... 7501 riosclerosis. Liver ...... 7313 9306 Chronic brain syndrome associated with circulatory Lung ...... 6809 disturbance other than cerebral arteriosclerosis. Actinomycosis, lung ...... 6803 9307 Chronic brain syndrome associated with convulsive Addison’s disease ...... 7911 disorder (idiopathic epilepsy). Adenitis, secondary ...... 7713 9308 Chronic brain syndrome associated with disturbance Adenoma, thyroid: of metabolism, growth or nutrition. Nontoxic ...... 7902 9309 Chronic brain syndrome associated with intracranial Toxic ...... 7901 neoplasm. Adhesions: 9310 Chronic brain syndrome associated with diseases of Pericardial ...... 7003 unknown or uncertain cause. Peritoneum ...... 7301 9311 Chronic brain syndrome of unknown cause. Agranulocytosis ...... 7702 Amebiasis ...... 7321 Amputation: PSYCHONEUROTIC DISORDERS Arm: Disarticulation ...... 5120 9400 Anxiety reaction. Above deltoid ...... 5121 9401 Dissociative reaction. Below deltoid ...... 5122 9402 Conversion reaction. Feet, both, and hand, one ...... 5103 9403 Phobic reaction. Feet, both ...... 5107 9404 Obsessive compulsive reaction. Finger (digit) individual: 9405 Depressive reaction. Thumb ...... 5152 9406 Psychoneurotic reaction, other. Index ...... 5153 Middle ...... 5154 PSYCHOPHYSIOLOGIC DISORDERS Ring ...... 5155 Little ...... 5156 9500 Psychophysiologic skin reaction. Fingers (digits) of one hand: 9501 Psychophysiologic cardiovascular reaction. Five ...... 5126 9502 Psychophysiologic gastrointestinal reaction. Four, thumb, index, middle, ring ...... 5127 9503 Psychophysiologic nervous system reaction. Four, thumb, index, middle, little ...... 5128 9504 Psychophysiologic reaction, other. Four, thumb, index, ring, little ...... 5129 Four, thumb, middle, ring, little ...... 5130 Four, index, middle, ring, little ...... 5131 DENTAL AND ORAL CONDITIONS Three, thumb, index, middle ...... 5132 Three, thumb, index, ring ...... 5133 9900 Maxilla or mandible, osteomyelitis of. Three, thumb, index, little ...... 5134 9901 Mandible, loss of, complete, between angles. Three, thumb, middle, ring ...... 5135 9902 Mandible, loss of approximately one-half. Three, thumb, middle, little ...... 5136 9903 Mandible, nonunion of. Three, thumb, ring, little ...... 5137 9904 Mandible, malunion of. Three, index, middle, ring ...... 5138 9905 Temporomandibular articulation, limited motion of. Three, index, middle, little ...... 5139 9906 Ramus, loss of whole or part of. Three, index, ring, little ...... 5140 9907 Ramus, loss of less than one-half the substance of, Three, middle, ring, little ...... 5141 not involving loss of continuity. Two, thumb, index ...... 5142
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